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• Gender Dysphoria Report | HHS Office of Population Affairs

  • "Suicidal ideation and behavior are independently associated with comorbidities common among children and adolescents diagnosed with gender dysphoria. Suicidal ideation and behavior have known psychotherapeutic management strategies. No independent association between gender dysphoria and suicidality has been found, and there is no evidence that pediatric medical transition reduces the incidence of suicide, which remains, fortunately, very low."​

• Suicide Scripts Among Sexual and/or Gender Minority Adults

  • ​"Our findings, combined with others (Blosnich et al. 2018; Canetto et al. 2021; Clark et al. 2022), provide insight into often overlooked societal and social forces disproportionately impacting suicide risk among sexual and/or gender minority individuals and therefore offer innovative directions for prevention. Given the emerging consensus of data suggesting a permissive suicide script among LGBTQ+ populations, our field must help to change the narrative from one of normalization and risk to one that emphasizes the strengths, joys, and resilience of sexual and/or gender-diverse persons. Challenging the suicide scripts from within the LGBTQ+ population by more fully representing the depth of their lived experience, including narratives of thriving, and focusing on ways to empower LGBTQ+ individuals (Feinstein 2020) are strategies that may help to decrease the disparities in suicide risk for these individuals. It is time for the field to expand theoretical models and preventive interventions of risk by integrating sociocultural factors into our understanding."

• People who have undergone cross-sex surgery are over 19 times more likely to die by suicide than the general population

  • ​"Dhejne et al. (2011)1 conducted the longest follow-up study to date on the outcomes of “sex reassignment surgery”, covering a period of 30 years (1973-2003) and involving 324 individuals in Sweden. The study compared these individuals to matched controls based on birth year and sex, revealing that those who had undergone surgery exhibited a significantly increased suicide risk, with rates nearly 19.1 times higher than their matched controls."

• Examining gender-specific mental health risks after gender-affirming surgery: a national database study​

  • "Primary outcomes were differences in mental health disorders, specifically depression, anxiety, suicidal ideation, body-dysmorphic disorder, and substance use disorder, among transgender individuals’ post-surgery."​

  • "From 107 583 patients, matched cohorts demonstrated that those undergoing surgery were at significantly higher risk for depression, anxiety, suicidal ideation, and substance use disorders than those without surgery."​

• Review of suicides and gender dysphoria at the Tavistock and Portman NHS Foundation Trust: independent report - GOV.UK

  • Summary of conclusions

    • The data do not support the claim that there has been a large rise in suicide in young gender dysphoria patients at the Tavistock.

    • The way that this issue has been discussed on social media has been insensitive, distressing and dangerous, and goes against guidance on safe reporting of suicide.

    • The claims that have been placed in the public domain do not meet basic standards for statistical evidence.

    • There is a need to move away from the perception that puberty-blocking drugs are the main marker of non-judgemental acceptance in this area of health care.

    • We need to ensure high quality data in which everyone has confidence, as the basis of improved safety for this at risk group of young people.

• Clinical gender dysphoria does not appear to be predictive of all-cause nor suicide mortality when psychiatric treatment history is accounted for. BMJ Mental Health. Volume 27, Issue 1.

  • A recent Finnish study found that suicide among youth with gender dysphoria is extremely rare and most likely related to underlying psychological problems.

• Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden

  • Conclusion:

    • Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population.

    • Findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and should inspire improved psychiatric and somatic care after sex reassignment for this patient group.​

• Suicide by Clinic-Referred Transgender Adolescents in the United Kingdom. Archives of Sexual Behavior. Volume 51.

  • Data from the world’s largest clinic for trans-identified youth over an 11-year period shows the proportion of individual patients who died by suicide was 0.03%. “The fact that deaths were so rare should provide some reassurance to transgender youth and their families….” It is irresponsible to exaggerate the prevalence of suicide.

• The Contagion of Suicidal Behavior

  • ​"Evidence has accumulated to support the idea that suicidal behavior is “contagious” in that it can be transmitted, directly or indirectly, from one person to another (Gould, 1990)."

• Risk of Suicide and Self-Harm Following Gender-Affirmation Surgery

  • "With the growing acceptance of transgender individuals, the number of gender affirmation surgeries has increased. Transgender individuals face elevated depression rates, leading to an increase in suicide ideation and attempts. This study evaluates the risk of suicide or self-harm associated with gender affirmation procedures."​

  • "Individuals who underwent gender-affirming surgery had a 12.12-fold higher suicide attempt risk than those who did not."

• Laura Edwards-Leeper, We Feel Like We’re in The Wild West:  Parents of Gender-Questioning Kids Ask Their Own Question. The Unspeakable Podcast, 2021.

  • “As far as I know there are no studies that say that if we don’t start these kids immediately on hormones when they say they want them that there are going to commit suicide…. So that’s misguided…in terms of needing to intervene medically to prevent suicide and doing it quickly. I know of no studies that have shown that.”

• Dr. Rittakerttu Kaltiala, The Free Press, October 30, 2023.

  • ​“I am also disturbed by how gender clinicians routinely warn American parents that there is an enormously elevated risk of suicide if they stand in the way of their child’s transition. Any young person’s death is a tragedy, but careful research shows that suicide is very rare. It is dishonest and extremely unethical to pressure parents into approving gender medicalization by exaggerating the risk of suicide. 

• Stats for Gender.org/suicide

  • ​People who have undergone cross-sex surgery are over 19 times more likely to die by suicide than the general population.

• Affirmative "Care" Reinforces Suicidality

  • "The statement “If you do not affirm a person’s new gender identity or the person will kill themselves.” goes against everything the mental health profession has been preaching for over 30 years."​

• Pediatric Gender Medicine and the Moral Panic Over Suicide

  • "The affirm-or-suicide mantra has become the central strategy of contemporary transgender activism, and at times it would seem that activists have little else in their rhetorical arsenal."

  • "Despite the unwaveringly confident manner in which these claims are often asserted, there is no good evidence that failing to “affirm” minors in their “gender identity” will increase the likelihood of them committing suicide.'

• Reckless and Irresponsible

  • "Decades of research suggest that suicide is a socially contagious behavior, especially in youth. In 1994, the Centers for Disease Control and Prevention published a document titled “Suicide Contagion and the Reporting of Suicide: Recommendations from a National Workshop.”​

  • "To be clear, evidence exists that youth who identify as transgender and feel acute distress over their bodies, especially around puberty, have higher rates of both suicide and suicidality (the latter referring to thoughts of suicide as well as nonlethal self-harm without an intent to die) than population-matched controls. Thankfully, however, actual suicide in this population remains extremely rare. A U.K. study found that the suicide rate among clinic-referred transgender-identified youth was 0.03 percent, or four deaths out of 15,000 gender-distressed minors."

• The Emotional Blackmail of ‘Gender-Affirming Care’

  • ​"Anecdotal experience shows that suicide rates are not reduced by affirming a new gender identity, rather, the mental health of the young person declines. In some cases, there is an initial “euphoria” (a term more widely used by trans influencers), especially if they gain attention and status, but eventually that feeling fades and the underlying issues the person had been avoiding are still there. "

• ACLU Attorney Confesses: Transgender-Suicide Claim is a Myth | City Journal

  • "Suicide, in other words, is a complex problem that requires nuance and understanding. Suicide-prevention experts have long argued that talking about suicide in the way that Strangio and the ACLU have done is irresponsible: suicide is a socially contagious behavior, and telling youth in distress that it is the expected response to their problems can encourage the very behavior these activists purportedly want to prevent."​

• Enough With Their Lies

  • ​"In August 2017, the Movement Advancement Project (MAP), a nonprofit think tank, published the second addition of its messaging guide, Talking About Suicide & LGBT Populations. The guide’s cover page lists The Trevor Project, GLAAD, and the Human Rights Campaign as MAP’s partners, which is surprising, given that these organizations are perhaps the most frequent violators of these very guidelines."